/ Ontario/Jiangsu Student Exchange
2012–2013 Exchange Year
Application Form for Students from Jiangsu

If you are completing this application by hand, please use black ink. Other colours do not copy well!

Please fill out parts I, II and III on pages 2, 3 and 4.
Please include in your application the necessary documents for parts IV, V and VI.

The original plus 1 set of photocopies of your application and all supporting document-tationshould be submitted to the office responsible for student exchanges at your home university in Jiangsu to be forwarded to the OJS Program Office. Please inquire if your home university requires additional copies. Please check locally for deadlines.

IV. Statement of Study or Research

Please attach a summary of your reasons for wanting to participate in the OJS Program. Outline as completely as possible your academic goals and interests for the semester or year in Ontario. Indicate your reasons for choosing the Ontario universities you listed in Part II of this application. Your summary should be a maximum of one page in length and should bear the heading “Statement of Study or Research.”

V. Curriculum Vitae

Please attach a one-page curriculum vitae (resumé) to this application. Include relevant information on where you have lived, your education, employment, volunteer work, hobbies and interests, relevant skills and qualifications, as well as prizes, scholarships and awards.

VI. Instructions to Applicants

In addition to your completed application (including your “Statement of Study or Research” and your “curriculum vitae”), please submit the following to the responsible office at your home university (original plus 1 set of photocopies to be forwarded to the OJS Program Office. Please inquire if your home university requires additional copies):

1.Official transcript(s) from all post-secondary institutions attended;

2.Letters of support from two faculty members;

3.One passport-size photo.

If you have questions about the Ontario/Jiangsu University Student Exchange Program or this application form, please contact the responsible office at your home university, or:

LI Binbin

InternationalEducationCollege

NanjingUniversity of Aeronautics and Astronautics

29 Yudao Street

Nanjing 210016, PRC

e-mail:

Notice to applicants:

The Ontario/Jiangsu University Student Exchange Program is administered by a Consortium of Ontario Universities. The Program reserves the right to keep applications on file indefinitely and to release information about participants for publicity purposes. The Program Office reserves the right to compile anonymous statistics relating to the gender, home university, proposed host university, and field and level of study of successful and unsuccessful applicants; and to use these statistics for legitimate academic purposes. The Program Office further reserves the right to compile lists of Program participants for the use of officials and other members of the Program. In applying to the Program, you are accepting these conditions.

/ Ontario/Jiangsu Student Exchange
2012–2013 Exchange Year
Application Form for Students from Jiangsu

If you are completing this application by hand, please use black ink. Other colors do not photocopy well!

HomeUniversityin Jiangsu
I. General Information
Last name
Given name(s)
Date of birth (mm/dd/yyyy)
Place of birth (city/country)
Status in China / Chinese Citizen
International Student
Please list all countries of which you are a citizen

Current address at home university

Date until which the following information is valid (mm/dd/yyyy)
Street (Apt # if applicable)
City/Province/Postal Code
Study Telephone
Cellphone
E-mail (No hotmail or yahoo, please!)

Permanent address(home)

Street (Apt # if applicable)
City/Province/Postal Code

Telephone

II. Proposed Course of Study in Ontario

There are nine (12) Ontario universities participating in the program. Details regarding these universities, websites and contact information are included in the Student Information Package.

Please indicate three universitiesin Ontario you would like to attend listed in order of preference / 1.
2.
3.
Which subject(s) do you propose to study while in Ontario? / 1.
2.

1

I apply for (Please check one )  Full year Fall Semester only Winter Semester only

Fall Semester: September – end December; Winter Semester: January – end April

1

III. Academic Background

Home university / Home faculty

Degree sought (e.g. Diploma, Bachelor, Master, Doctorate)

Number of higher education study years prior to departure abroad
Major/minor field(s) of study

Please summarize all your post-secondary academic training:

Institution / Dates (From-To) / Field(s) of study / Degree Received

Please describe your formal or informal training in English:

Please indicate the nature and extent of your previous living, studying, or traveling in Canada (if any):

Please list the names and departments of two faculty members who have agreed to write letters in support of your application:

1. ______

2. ______

I hereby certify that (1) the information given on this application form is accurate to the best of my knowledge; and (2) I accept the conditions set forth above relating to my participation in the program and the use of information contained in the application.

Date: ______Signature: ______

Comments by HomeUniversity International Officer:

1